Gupta Kristina
a Women's, Gender, and Sexuality Studies, Wake Forest University , Winston-Salem , North Carolina , USA.
J Sex Marital Ther. 2017 Jan 2;43(1):1-14. doi: 10.1080/0092623X.2015.1113593. Epub 2015 Dec 7.
This article draws on qualitative in-depth interviews with 30 asexually identified individuals living in the United States in order to contribute to our understanding of when low sexual desire should be treated as a medical or mental health issue and when it should be treated as a benign sexual variation. The article discusses five findings of relevance to health professionals: (1) the line between a desire disorder and asexuality is not clear-cut; (2) asexually identified individuals may experience distress, so distress alone does not separate a desire disorder from asexuality; (3) asexually identified individuals may face sexual pressure from a partner or may have difficulty negotiating sexual activity with a partner; (4) asexuality does not need to be distressing, rather it can be experienced as a fulfilling form of sexuality; and (5) many asexually identified individuals believe in the usefulness of low sexual desire as a diagnostic category and support medical and mental health professionals in their efforts to develop treatments for sexual desire disorders. Based on these five findings, this article offers four concrete suggestions for health professionals working with clients with low sexual desire, whether or not those clients identify as asexual.
本文基于对30位生活在美国、自我认定为无性恋的个体进行的定性深入访谈,旨在增进我们对于何时应将低性欲视为医学或心理健康问题,以及何时应将其视为良性性变异的理解。本文讨论了与健康专业人员相关的五项研究结果:(1)欲望障碍与无性恋之间的界限并不清晰;(2)自我认定为无性恋的个体可能会经历痛苦,因此仅痛苦并不能将欲望障碍与无性恋区分开来;(3)自我认定为无性恋的个体可能会面临来自伴侣的性压力,或者在与伴侣协商性行为时遇到困难;(4)无性恋不一定令人痛苦,相反,它可以被体验为一种充实的性形式;(5)许多自我认定为无性恋的个体认为低性欲作为一个诊断类别是有用的,并支持医学和心理健康专业人员努力开发治疗性欲障碍的方法。基于这五项研究结果,本文为与低性欲患者合作的健康专业人员提供了四条具体建议,无论这些患者是否自我认定为无性恋。